체중을 이용한 신생아 체표면적 측정공식 개발

안영미(Young-Mee Ahn) 한국생활환경학회 2010 한국생활환경학회지 Vol.17 No.1

While the direct measurement of body surface area (BSA) is impractical, there is an urgent need for the accurate BSA estimation in neonates considering increasing of high-risk infants. Particularly, it would be feasible to have a BSA equation using only weight of neonate, considering the body posture and inconvenience of measuring height of neonates. A research was conducted to develop BSA equation using weight of 5014 neonates including very-low-birth weight infants. BSA of subjects was calculated using existing BSA equations, from which Mean-BSA was arithmetically derived as a true BSA. Multiple-regression was performed to generate the equation for Mean-BSA with the best goodness-of-fitness of weight and height using Excel and SPSS 16.0. Then the final BSA equation with weight of neonates (Ahn-BSA) was formulated using the relationship between weight and height. Ahn-BSA equation was as follows: Ahn-BSA = 10.8 ×W<SUP>0.6539</SUP>. The validity of Neo-BSA was examined using 3-D scanning of neonate-simulator and paired t-test between Mean-BSA and Ahn-BSA. Ahn-BSA, using only body weight, could provide an accurate measurement of BSA in neonates from very low birth weight to normal weight. It would accelerate understanding the body of knowledge and serve as a base for accurate application of various interventions in BSA practice for neonates.

CRIES, FLACC, PIPP를 이용한 고위험영아의 통증사정

안영미,강희옥,신은진,Ahn, Young-Mee,Kang, Hee-Ok,Shin, Eun-Jin 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.7

Purpose: Infants at neonatal intensive care units (NICU) are invariably exposed to various procedural and environmental stimuli. The study was performed to compare the pain responses in three NICU stimulants and to examine the clinical feasibility for NICU infants using CRIES, FLACC and PIPP. Method: In a correlational study, a total of 94 NICU stimulants including angio-catheter insertions, trunk-rubbings and loud noises, was observed for pain responses among 64 infants using CRIES, FLACC and PIPP. Results: A significant difference was identified among the mean scores in CRIES($F_{(2, 91)}$=47.847, p=.000), FLACC($F_{(2, 91)}$=41.249, p=.000) and PIPP($F_{(2. 91)}$=16.272, p=.000) to three stimulants. In a Post-hoc Scheff test, an angio-catheter insertion showed the highest scores in CRIES, FLACC and PIPP compared to the other two stimulations. A strong correlation was identified between CRIES and FLACC in all three stimulations(.817 < r < .945) while inconsistent findings were identified between PIPP and CRIES or FLACC. Conclusions: The results of the study support that CRIES and FLACC are reliable and clinically suitable pain measurements for NICU infants. Further studies are needed in data collection time-point as well as clinical feasibility on PIPP administration to assess pain response in infants, including premature infants.

미숙아의 기관지흡인 전 흉곽진동 간호중재가 산소포화도, 심박동수와 기도분비물의 양에 미치는 영향

안영미,Ahn Young Mee 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2

Prematurity is the main cause for respiratory disorders in neonates. The goal in respiratory management is to maintain respiration with adequate oxygenation. Chest vibration(CV) prior to on dotracheal suctioning(ETS) has been arbitrarily applied to ventilated premature infants without the scientific evaluation of its safety and efficacy. A repeated measure within subjects experimental study was conducted to investigate the effects of CV prior to 875 on oxygenation and lung secretions in twenty-one ventilated premature infants. The independent variable was the type of research protocol, the control type (275 without C.V) and t he intervention(ETS with CV). The dependent variables were oxygen saturation(SpO₂), heart rate (HR), measured by pulse oximeter, and the amount of lung secretions measured in gram. The results showed there was no difference in SpO₂ responses regardless CV employed before ETS. But there was a significant difference in HR responses between the control and the intervention, even without clinical significance. There was a significant difference in the amount of lung secretions retrieved during ETS with CV, compared to ETS without CV. This study suggested the safety of CV by demonstrating no clinically significant changes in SpO₂ and HR in premature infants. The efficacy of CV could be supported by the increases in the amount of sputum during ETS with CV compared to ETS without CV in premature infants.

신생아의 성숙도 평정에 의한 재태기간 사정

안영미,구현영,Ahn Young Mee,Koo Hyun Young 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.1

Newborn period is a transitional stage for independent adaptation from intrauterine to extrauterine life by maintaining respiration, temperature and nutrition. In general, the adaptability of the newborn is proportional to the gestational age(GA), so knowing the accurate GA is critical to develop nursing process in the newborn nursery. A newborn ma turity rating, a Ballard examination, has been used to measure GA by assessing the maturity of new-born. It consists a total of 12 items, which is the 6 items for the neuromuscular maturity and the 6 items for the physical maturity A total of 75 new-born were assessed for the maturity and GA using the Ballard examination. The results are follows : 1) The score of each item of Ballard examination is propotional to GA using the Ballard examination as well as LMP. 2) There was a greater positive relationship between neuromuscular, physical and total maturity, and the GA measured by Ballard examination, than the GA measured by LMP. 3) Any stressful environment to the newborn could influence to the maturity of newborn. In summary, the study showed the Ballard examination Is more reliable and clincially feasible method to measure the accurate G4 compared to the GA by LMP. Therefore, it suggests the application of Ballard examination to measure the new born maturity and GA is beneficial in developing nursing process. The expansion of the study with the variety of the subject characteristics nil on hance the clinical applicability of the examination.

사시수술 후 소아환자가 느끼는 통증의 측정

안영미(Young Mee Ahn),백혜정(Hae Jung Paik) 대한안과학회 2000 대한안과학회지 Vol.41 No.4

간호교육 평가 : 연구방법 ; 임상간호연구를 위한 논점

안영미(Young Mee Ahn) 연세대학교 김모임간호학연구소 1999 간호학탐구 Vol.8 No.1

N/A

신생아에 있어 TcB(transcutaneous bilirubinometry)를 이용한 고빌리루빈혈증의 사정

안영미 ( Ahn Young-mee ),김미란 ( Kim Mi-ran ),이상미 ( Lee Sang-mi ),전용훈 ( Jun Yong-hoon ) 한국간호과학회 2003 Journal of Korean Academy of Nursing Vol.33 No.1

Purpose: The purpose of the study is to investigate the relationship between total serum bilirubin(TSB) and transcutaneous bilirubinometry(TcB) in neonates with jaundice. Method: TcB from various sites(forehead, sternum, abdomen, buttock, hand, dorsalis-pedia) was measured using a JM-102 in a total of 102 neonate, 42 female and 60 male, with the mean 37.5 gestational week and the mean 2,903 gram of birth weight, as well as TSB from capillary punctures. Result: The mean bilirubin was 11.73 in serum, 20.55 on the forehead, 17.23 on the sternum, 16.19 on the abdomen, 18.22 on the buttock, 15.83 on the hand and 15.49 on the dorsalis-pedia. The relationship between TSB and TcBs were formulated by simple regression with 0.406 < r < 0.668(p < .000). A higher relationship was revealed between TSB and TCB at the forehead in infants of full-term, ABO incompatibility, and Hb greater than 16 mg/dl(r = 0.725, 0.790, and 0.717, retrospectively). Phototherapy altered the measurement of TcB per site. Conclusion: TcB on the forehead is a reliable, noninvasive and convenient measurement of TSB in normal infants(Institutions need to establish quantitative equations representing the specific relationship between TSB and TCB according to the hemodynamic problems of infants such as ABO incompatibility, or low Hb).

초등학생의 신체형태와 체표면적

안영미(Young-Mee Ahn),최선하(Sun-Ha Choi) 한국생활환경학회 2008 한국생활환경학회지 Vol.15 No.4-1

The body shape and body surface area(BSA) is a basic physiologic anthropometry of interest in children in growing process. This study was proposed to explore the body shape using a Broca index and body surface area(BSA) using a Boyd-, Dubois-, and Mosteller-formulas, then explore the relationship between body shape and BSA in 2197 4<SUP>th</SUP>-6<SUP>th</SUP> schoolers. The results revealed, surprisingly, only 42% belonged to the average shape while rest of them were either under average(36.4%) or over average(21.6%). The extreme pattern of either very skinny or severely obese was observed in 22%. It may be accounted for by deviated favor towards skinny body shape due to fast modernization and the nutritional imbalance due to prevail availability of junk food and rather than the lack of nutrition in children. As well, the validity of three BSA formulas was supported in schoolers with average shape. However, wide variation in BSA estimation was observed in cases of skinny or obese schoolers particularly using Boyd- or Dubois-formulas while the Mosteller one showed a minimum variation across body shapes. Careful caution is needed in application BSA formula to children of various physical shapes such as skinny or obese. As well the classification of body shape including skinny, average or obese shape, needs to be understood in terms of growth process of children and the evolutionary adapted ness to environments in those population.

Indomethacin coprecipitate 조제를 위한 combined water soluble carrier 의 영향

안영미 ( Young Mee Ahn ),구영순 ( Young Soon Ku ) 한국약제학회 1984 Journal of Pharmaceutical Investigation Vol.14 No.1

N/A

대한간호학회지 게재 논문 주요어 분석(2003-2005년)

정금희,안영미,조동숙,Jeong Geum-Hee,Ahn Young-Mee,Cho Dong-Sook 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.7

Purpose: We try to disclose how much the keywords of the papers from the Journal of the Korean Academy of Nursing coincide with MeSH terminologies and to understand the major subjects of the recent nursing research in Korea from keywords. Methods: Keywords of journals were extracted and compared with MeSH terms. The frequency of the appearance of each keyword was sorted by a descending order. Results: Coincidence rate of 1,235 keywords with MeSH terms was $51.6\%$. Out of them, depression, elderly, stress, self efficacy, quality of life, exercise, middle-aged women, and women appeared most frequently in descending order. Conclusion: Coincidence rate of the keywords with MeSH terms was at an acceptable level, however to improve it, the education of submitters and editorial board members are required, as well as the copy editor, to take a role in checking keywords. To infer the subjects of the research from keywords might well represent the recent topics of research work.